Revenue Cycle Management

CODING

  • Oversee timely coding through experienced coding experts in various specialties
  • Expertise with the latest payor rules, coding standards, and billing guidelines
  • Read and analyzing patient records
  • Determine the correct codes for patient records
  • Using codes to bill insurance providers
  • Interact with physicians and assistants to ensure accuracy
  • Keep track of patient data over multiple visits
  • Manage detailed, specifically-coded information
  • Maintain patient confidentiality and information security

BILLING & COLLECTIONS

  • Audit all charges before claims are submitted to payers to ensure accuracy
  • Achieve maximum reimbursements while meeting compliance
  • Manage AR days
  • Coordinate communication with the managed care team in order to maximize reimbursement through better contracts

AR MANAGEMENT

  • Achieve successful appeals outcomes
  • Identify and provide training in areas of risk in the documentation processes.
  • Follow up programs for issue resolution
  • Comply with insurance guidelines, the claims submission process, and procedures
  • Fill out complex insurance claim forms
  • Analyzing Explanation of Benefits (EOB) forms to ensure insurance companies have paid for charges
  • Generate accounts receivable reports, clients
  • Follow up with the appropriate parties, e.g., insurance companies and patients, to ensure bills are paid

 

 

Revenue Cycle Management

We operate in accordance with the highest standards in all relationships with employees, customers, and the community. We understand that through collaborations we can achieve sustainable objectives. To this end, we strive to create an environment of mutual respect and encouragement.